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PSA COBRA Rep at PacificSource in Springfield, Oregon

Posted in Other 30+ days ago.

Job Description:

Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Position Overview:

Maintain accurate, up-to-date records of all documents and accounts for pending and enrolled participants and groups. Provide customer service assistance to beneficiaries, brokers, and group administrators with COBRA questions. Understand and adhere to all COBRA regulations and time lines.

Essential Responsibilities:
  • Process all required notices received from the group or qualifying beneficiary. Research and resolve any questions or missing information necessary to enroll or enter the forms into the system.
  • Process notifications and changes; such as requests to term a beneficiary or group to ensure that any needed refunds are returned to the proper entity.
  • Verify and research deposits for beneficiary or group payments which could include refund or administrative adjustment fee payments.
  • Review carrier billings and other correspondence as required ensuring enrollment information matches the carrier records. Communicate any discrepancies with the carrier until resolved. This includes, but is not limited to, enrollment dates, termination dates, and premium rates.
  • Process Benefit Plan Renewals to include updating new plan rates and types.
  • Prepare administrative fee invoices as directed.
  • Assist employer group administrators, agents, and PSA-COBRA staff on eligibility, regulations, and calculation of COBRA premium rates.
  • Enter and maintain information in multiple databases such as ACT!, QuickBooks, TRAVIS or other COBRA related software platform(s). This will include but not limited to; setting up new groups, updating existing groups at renewal and making any needed mid-year plan changes.
  • Provide phone and e-mail support.
  • Support all operational initiatives and process change implementations.

Supporting Responsibilities:
  • Participate in department meetings and training. Take advantage of opportunities to increase knowledge and skill.
  • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • Meet department and company performance and attendance expectations.
  • Perform other duties as assigned.

Work Experience: One year work experience. Accounting experience preferred. Knowledge of COBRA or Employer Benefit Plan Administration processes preferred.

Education, Certificates, Licenses: High school diploma or GED required.

Knowledge: Ability to prioritize work and perform under time pressures. Must be detail oriented and a team player. Advanced PC skills, ability to type using a standard keyboard and operate a 10-key pad accurately. Basic math skills are required. Knowledge of and ability to understand group plan documents.

  • Building Customer Loyalty
  • Building Strategic Work Relationships
  • Contributing to Team Success
  • Planning and Organizing
  • Continuous Improvement
  • Adaptability
  • Building Trust
  • Work Standards

Our Values
  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.
  • We practice open communication at all levels of the company to foster individual, team and company growth.
  • We actively participate in efforts to improve our many communities-internally and externally.
  • We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.